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EPTB accounts for 15%to20%0% of all TB cases reported by TB control programs in the African region [1].
In Galicia and Barcelona, two areas with effective TB control programs, the TB incidence is higher than the national average.
However, the existing TB control programs may have limitations in addressing childhood TB.
Therefore, IGRA tests are expected to improve the effectiveness of TB control programs in many countries with low prevalence of TB.
"But it's also gotten harder because you have to run several TB control programs that are linguistically and culturally sensitive".
The emergence of drug-resistant M. bovis is an important public health problem that jeopardizes the success of TB control programs in the region.
Chaisson and others stress that global donors must do more to support TB control programs that integrate HIV prevention and treatment.
During these challenging economic times, it is critical not only to adequately fund TB control programs, but also to take into consideration the future costs to society.
In the late 1980s, long-neglected TB control programs were overwhelmed by an increased caseload at the same time the HIV epidemic was escalating.
Acquisition can arise from medical error, poor TB control programs or poor patient adherence to treatment.
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Therefore, they become one of the high risk population for transmitting resistant Mtb, especially in regions lacking effective MDR-TB control programs.
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